Format

Send to

Choose Destination
Am J Public Health. 2004 May;94(5):783-9.

Delays and unmet need for health care among adult primary care patients in a restructured urban public health system.

Author information

1
Division of General Internal Medicine and Health Services Research, University of California-Los Angeles, 911 Broxton Avenue, Los Angeles, CA 90095-1736, USA. adiamant@mednet.ucla.edu

Abstract

OBJECTIVES:

We estimated the prevalence and determinants of delayed and unmet needs for medical care among patients in a restructured public health system.

METHODS:

We conducted a stratified cross-sectional probability sample of primary care patients in the Los Angeles County Department of Health Services. Face-to-face interviews were conducted with 1819 adult patients in 6 languages. The response rate was 80%. The study sample was racially/ethnically diverse.

RESULTS:

Thirty-three percent reported delaying needed medical care during the preceding 12 months; 25% reported an unmet need for care because of competing priorities; and 46% had either delayed or gone without care.

CONCLUSIONS:

Barriers to needed health care continue to exist among patients receiving care through a large safety net system. Competing priorities for basic necessities and lack of insurance contribute importantly to unmet health care needs.

PMID:
15117701
PMCID:
PMC1448338
DOI:
10.2105/ajph.94.5.783
[Indexed for MEDLINE]
Free PMC Article

Supplemental Content

Full text links

Icon for Atypon Icon for PubMed Central
Loading ...
Support Center